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West Virginia rates for HCPCS K0738

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.70 / $323.70 / $323.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.19 / $262.73 / $323.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.06 / $56.02 / $74.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $56.02 / $108.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.39 / $318.39 / $318.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.64 / $270.64 / $318.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $30.98 / $74.78